Advocacy and Research

Amy Stein featured in panel discussion about painful sex

Amy Stein, MPT, was featured in the January 2012 issue of the American College of Obstetricians and Gynecologists Update entitled “Dyspareunia: Diagnosis and Treatment”. This discussion was moderated by Dr. John F. Steege, Director of the Division of Advanced Laparoscopy and Pelvic Pain and the University of North Carolina at Chapel Hill. Providing a psychological perspective was Dr. Irving M. Binik, Director of the Sex and Couple Therapy Service at McGill University Health Center in Montreal.

This continuing education module highlights recent advances in the treatment of vulvar pain. The paper discusses the relationship between IBS, interstitial cystitis, endometriosis, fibromyalgia, and pelvic pain. The doctors report positive results with the use of topical agents as an effective treatment option for vestibulodynia. Physical therapy continues to be highly recommended as a treatment for pain with intercourse. Debunked was the myth of pain at the vaginal opening being from a psychological origin.

The article finishes with this startling statistic: 24% of women have pain with sex at the vaginal opening 6 months postpartum. These women don’t have to suffer or assume that “this is the way things are now”. Pelvic floor physical therapists can work with muscle spasm, scar tissue, pelvic misalignment, and muscle imbalances to restore the optimal tissue relationships.

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